Compositions and methods for treating friedreich&#39;s ataxia

ABSTRACT

The invention provides compositions and methods useful for the treatment of Friedreich&#39;s ataxia. In some embodiments, the invention provides compositions and methods useful for inhibiting the ubiquitination of frataxin.

CROSS-REFERENCES TO RELATED APPLICATIONS

This application is a continuation of international application PCT/IB2015/057318 (filed Sep. 22, 2015), which claims the benefit of U.S. Provisional Application No. 62/053,709 (filed Sep. 22, 2014). These applications are incorporated by reference in its entirety for all purposes.

REFERENCE TO A “SEQUENCE LISTING,” A TABLE, OR A COMPUTER PROGRAM LISTING APPENDIX SUBMITTED ON A COMPACT DISK

This application includes a Sequence Listing as a text file named SEQ 097459-000110US-0957672 ST25.txt created Sep. 22, 2015, and containing 2,242 bytes. The material contained in this text file is incorporated by reference in its entirety for all purposes.

TECHNICAL FIELD

The present invention relates generally to compositions and methods useful for the treatment of Friedreich's ataxia.

BACKGROUND ART

Friedreich's ataxia (FRDA) affects >20,000 individuals in Caucasian populations. Generally within 10 to 15 years from onset, it leads to loss of deambulation and complete disability, with premature death often caused by cardiac insufficiency.¹ Symptoms usually appear late in the first decade or early in the second decade of life, and include gait instability and general clumsiness. Skeletal abnormalities, such as scoliosis or pes cavus, may be already present. Gait ataxia has both cerebellar and sensory features, involves truncus and limbs, and is progressive and generally unremitting. Swaying is common and, as it becomes more severe, eventually requires constant support and wheelchair use. Dysarthria occurs early in the disease and progress to complete speech impairment. Dysphagia is a late feature and may require artificial feeding. Ventricular hypertrophy characterizes the cardiac picture, and may progressively lead to congestive heart failure and fatal arrhythmias. A significant minority of patients also develop diabetes mellitus, by not yet clearly defined mechanisms.²

FRDA is caused by homozygous hyperexpansion of GAA triplets within the first intron of the FXN gene, an highly conserved five-exon gene located on the long arm of human chromosome 9, coding for the protein frataxin. Pathological GAA expansions (from ˜70 to >1,000 triplets) result in “sticky” DNA structures and epigenetic changes that severely reduce transcription of the FXN gene. FRDA patients live with 10-30% residual frataxin, the severity of the disease being directly proportional to the number of GAA triplets and to the consequent degree of frataxin reduction. A minority of FRDA patients, so called compound heterozygotes, has pathological GAA expansions on one FXN allele and loss-of-function mutations on the other. Complete loss of frataxin is not compatible with life, in all species examined.³

Human frataxin is synthesized as a 210 amino acid (aa) precursor that is rapidly targeted to the mitochondria. Upon entrance into the mitochondria, the frataxin precursor undergoes a two-step proteolytic processing, mediated by the mitochondrial protein peptidase (MPP). The resulting mature frataxin is a 130aa globular polypeptide that mostly resides within the mitochondrial matrix,^(4,5) but that can be also found outside the mitochondria,^(6,7) where it might interact with and regulate cytosolic aconitase/IRP1.⁸ Frataxin may bind iron directly and act either as an iron donor ^(9,10) or as an iron sensor involved in the proper functioning of the iron-sulphur cluster (ISC) machinery.¹¹ Frataxin-defective cells have reduced activity of ISC-containing enzymes, a general imbalance in intracellular iron distribution and increased sensitivity to oxidative stress.

There is currently no specific therapy to prevent the progression of the disease.¹² Most therapeutic approaches are aimed at reducing mitochondrial dysfunction and are based on the use of anti-oxidant or iron chelators.^(13,14) Beside this, as levels of residual frataxin are crucial in determining the severity of the disease, many efforts have been put in the identification of molecules that increase frataxin transcription.^(15,16) However, no studies have been so far reported regarding neither the physiological turnover of this protein in humans, nor any factors that can modulate its stability. Therefore, the comprehension of the molecular mechanisms that regulate frataxin protein stability might provide fundamental information towards the design of new therapeutic approaches.

Although the maturation process of frataxin has been well characterized, no information is available concerning the biology of frataxin degradation. Since the Ubiquitin- Proteasome System (UPS) is the major pathway for regulated intracellular protein degradation in higher eukaryotes, this pathway was investigated for its involvement in the control of frataxin turnover.¹⁷

DISCLOSURE OF THE INVENTION

In a first aspect, the present invention provides a method of treating Friedreich's ataxia in a subject in need thereof, comprising administering to a subject a therapeutically effective amount of a polycyclic compound or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof;

-   -   wherein the polycyclic compound is of a formula selected from         the group consisting of:

wherein:

-   -   X is a linking group selected from the group consisting of         —S(O)₂— and —C(O)—;     -   R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each         independently selected from the group consisting of hydrogen,         lower alkyl, fluoroalkyl, aryl, and heteroaryl; wherein the aryl         or heteroaryl group has from 0 to 3 R⁴ substituents;     -   R² is a first cyclic group selected from the group consisting of         phenyl, naphthyl, and heteroaryl; wherein the R² group has from         0 to 3 R⁴ substituents;     -   R³ is a second cyclic group selected from the group consisting         of phenyl, naphthyl, and heteroaryl; wherein the R³ group has         from 0 to 4 R⁴ substituents;     -   each R⁴ substituent is independently selected from the group         consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆         alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —C(O)R⁵, —NHC(O)R⁵,         —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷,         —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic R⁴         substituent is selected from the group consisting of aryl,         heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl,         cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴         substituent has from 0 to 3 R⁸ substituents;     -   each R⁵, R⁶, or R⁷ is independently H, C₁-C₆ alkyl, C₂-C₆         alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, or a cyclic R⁵         substituent; wherein the cyclic R⁵ substituent is selected from         the group consisting of aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl;         and wherein the cyclic R⁵ substituent has from 0 to 3 R⁸         substituents; and     -   each R⁸ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, halo, aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, or heterocyclyl;         and     -   wherein adjacent R⁴, R⁵, R⁶, or R⁷ substituents may optionally         join to form an additional fused ring selected from the group         consisting of aryl, heteroaryl, cycloalkyl, and heterocyclyl;         wherein the additional fused ring has from 0 to 3 R⁸         substituents.

In an alternative first aspect, the present invention provides a method of treating Friedreich's ataxia in a subject in need thereof, comprising administering to a subject a therapeutically effective amount of a polycyclic compound or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof;

-   -   wherein the polycyclic compound is of a formula:

wherein:

-   -   X is a linking group selected from the group consisting of         —S(O)₂— and —C(O)—;     -   R^(1a) and R^(1b) are each independently selected from the group         consisting of hydrogen, lower alkyl, fluoroalkyl, aryl, and         heteroaryl; wherein the aryl or heteroaryl group has from 0 to 3         R⁴ substituents;     -   R² is a first cyclic group selected from the group consisting of         phenyl, naphthyl, and heteroaryl; wherein the R² group has from         0 to 3 R⁴ substituents;     -   R³ is a second cyclic group selected from the group consisting         of phenyl, naphthyl, and heteroaryl; wherein the R³ group has         from 0 to 4 R⁴ substituents;     -   each R⁴ substituent is independently selected from the group         consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆         alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —C(O)R⁵, —NHC(O)R⁵,         —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷,         —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic R⁴         substituent is selected from the group consisting of aryl,         heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl,         cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴         substituent has from 0 to 3 R⁸ substituents;     -   each R⁵, R⁶, or R⁷ is independently H, C₁-C₆ alkyl, C₂-C₆         alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, or a cyclic R⁵         substituent; wherein the cyclic R⁵ substituent is selected from         the group consisting of aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl;         and wherein the cyclic R⁵ substituent has from 0 to 3 R⁸         substituents; and     -   each R⁸ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, halo, aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, or heterocyclyl;         and     -   wherein adjacent R⁴, R⁵, R⁶, or R⁷ substituents may optionally         join to form an additional fused ring selected from the group         consisting of aryl, heteroaryl, cycloalkyl, and heterocyclyl;         wherein the additional fused ring has from 0 to 3 R⁸         substituents.

In some embodiments of either aspect, the method has the proviso that the polycyclic compound is not disclosed in U.S. Pat. No. 8,703,749.

In some preferred embodiments of either aspect, the R⁸ substituents are unsubstituted (i.e., have no optional substituents).

In some preferred embodiments of either aspect, all components have no optional substitution that is not expressly indicated. For example, if R³ may be a group with from 0 to 4 R⁴ substituents, and R³ is aryallkyl, R³ has only 0 to 4 substituents even if arylalkyl groups (or their constituent aryl and alkyl groups) are defined as possibly including additional optional substitution.

In some embodiments of either aspect, the polycyclic compound formula is selected from those described in Table 1.

In some embodiments of either aspect, X is —S(O)₂—.

In some embodiments of either aspect, X is —C(O)—.

In some embodiments of either aspect, R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each independently selected from the group consisting of hydrogen, lower alkyl, and aryl.

In some embodiments of either aspect, R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each independently selected from the group consisting of hydrogen and lower alkyl.

In some embodiments of either aspect, R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each independently selected from the group consisting of hydrogen, methyl, and phenyl.

In some embodiments of either aspect, R² is selected from the substituents that are listed in Table 2.

In some embodiments of either aspect, R² is a phenyl group substituted with from 0 to 3 R⁴ substituents.

In some embodiments of either aspect, R² is a naphthyl group substituted with from 0 to 3 R⁴ substituents.

In some embodiments of either aspect, the R⁴ substituents for the R² groups are independently selected from the group consisting of halo, lower alkyl, hydroxyl, and alkoxy.

In some embodiments of either aspect, R³ is an aryl group substituted with from 0 to 3 R⁴ substituents.

In some embodiments of either aspect, R³ is a heteroaryl group substituted with from 0 to 3 R⁴ substituents.

In some embodiments of either aspect, R³ is a phenothiazinyl group with from 0 to 3 R⁴ substituents.

In some embodiments of either aspect, the R⁴ substituents for the R³ groups are independently selected from the group consisting of halo, lower alkyl, hydroxyl, and alkoxy.

In some embodiments of either aspect, the R⁴ substituents for the R³ groups are independently selected from those that are listed in Table 2.

In some embodiments of either aspect, each R⁴, R⁵, R⁶, R⁷, or R⁸ is independently H, C₁-C₆ alkyl, halo, —NO₂, —CF₃, —CN, or C₁-C₆ alkoxy.

In some embodiments of either aspect, the method of treating Friedreich's ataxia comprises inhibiting ubiquitination of frataxin.

In some embodiments of either aspect, the subject is a mammal.

In some embodiments of either aspect, the mammal is a human.

In a second aspect, the invention provides a method of inhibiting ubiquitination of frataxin in a subject comprising administering to a subject a therapeutically effective amount of a compound as described herein, or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof.

In some embodiments, at least one R⁴ is a halogen.

In a third aspect, the invention provides a pharmaceutical composition comprising a therapeutically effective amount of a polycyclic compound or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof.

-   -   wherein the polycyclic compound is of a formula selected from         the group consisting of:

wherein:

-   -   X is a linking group selected from the group consisting of         —S(O)₂— and —C(O)—;     -   R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each         independently selected from the group consisting of hydrogen,         lower alkyl, fluoroalkyl, aryl, and heteroaryl; wherein the aryl         or heteroaryl group has from 0 to 3 R⁴ substituents;     -   R² is a first cyclic group selected from the group consisting of         phenyl, naphthyl, and heteroaryl; wherein the R² group has from         0 to 3 R⁴ substituents;     -   R³ is a second cyclic group selected from the group consisting         of phenyl, naphthyl, and heteroaryl; wherein the R³ group has         from 0 to 4 R⁴ substituents;     -   each R⁴ substituent is independently selected from the group         consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆         alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —C(O)R⁵, —NHC(O)R⁵,         —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷,         —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic R⁴         substituent is selected from the group consisting of aryl,         heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl,         cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴         substituent has from 0 to 3 R⁸ substituents;     -   each R⁵, R⁶, or R⁷ is independently H, C₁-C₆ alkyl, C₂-C₆         alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, or a cyclic R⁵         substituent; wherein the cyclic R⁵ substituent is selected from         the group consisting of aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl;         and wherein the cyclic R⁵ substituent has from 0 to 3 R⁸         substituents; and     -   each R⁸ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, halo, aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, or heterocyclyl;         and     -   wherein adjacent R⁴, R⁵, R⁶, or R⁷ substituents may optionally         join to form an additional fused ring selected from the group         consisting of aryl, heteroaryl, cycloalkyl, and heterocyclyl;         wherein the additional fused ring has from 0 to 3 R⁸         substituents.

In an alternative third aspect, the invention provides a pharmaceutical composition comprising a therapeutically effective amount of a polycyclic compound or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof;

-   -   wherein the polycyclic compound is of a formula:

wherein:

-   -   X is a linking group selected from the group consisting of         —S(O)₂— and —C(O)—;     -   R^(1a) and R^(1b) are each independently selected from the group         consisting of hydrogen, lower alkyl, fluoroalkyl, aryl, and         heteroaryl; wherein the aryl or heteroaryl group has from 0 to 3         R⁴ substituents;     -   R² is a first cyclic group selected from the group consisting of         phenyl, naphthyl, and heteroaryl; wherein the R² group has from         0 to 3 R⁴ substituents;     -   R³ is a second cyclic group selected from the group consisting         of phenyl, naphthyl, and heteroaryl; wherein the R³ group has         from 0 to 4 R⁴ substituents;     -   each R⁴ substituent is independently selected from the group         consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆         alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —C(O)R⁵, —NHC(O)R⁵,         —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷,         —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic R⁴         substituent is selected from the group consisting of aryl,         heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl,         cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴         substituent has from 0 to 3 R⁸ substituents;     -   each R⁵, R⁶, or R⁷ is independently H, C₁-C₆ alkyl, C₂-C₆         alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, or a cyclic R⁵         substituent; wherein the cyclic R⁵ substituent is selected from         the group consisting of aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl;         and wherein the cyclic R⁵ substituent has from 0 to 3 R⁸         substituents; and     -   each R⁸ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, halo, aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, or heterocyclyl;         and     -   wherein adjacent R⁴, R⁵, R⁶, or R⁷ substituents may optionally         join to form an additional fused ring selected from the group         consisting of aryl, heteroaryl, cycloalkyl, and heterocyclyl;         wherein the additional fused ring has from 0 to 3 R⁸         substituents

In some embodiments of either aspect, the method has the proviso that the polycyclic compound is not disclosed in U.S. Pat. No. 8,703,749.

In some embodiments of either aspect, the pharmaceutical compositions of the invention are for use in the methods of treating Friedreich's ataxia described herein. In some embodiments of either aspect, the pharmaceutical compositions of the invention are for use in the methods of inhibiting ubiquitination of frataxin described herein.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A-1D show a model of a ubiquitin-competing molecule, UCM71, docking to frataxin. FIG. 1A shows a crystal structure of frataxin with the solvent accessible molecular surface around the W155 pocket. FIG. 1B shows the W155 pocket with the ligand UCM71. FIG. 1C shows selected hydroge bonding interactions of UCM71 with frataxin. FIG. 1D shows the flexibility of the carbonyl-hydrazone scaffold that permits the flip of the phenothiazine moiety to point its central amino group toward Q148.

FIGS. 2A-2B illustrate that ubiquitin-competing molecules (UCMs) increase frataxin levels. Treatment of 293-frataxin cells with 10 μM UCM53, UCM108 and UCM71 is able to induce frataxin precursor accumulation (FIG. 2A) and, after 3 days, the accumulation of mature frataxin (FIG. 2B).

FIGS. 3A-3B illustrate that UCMs prevent frataxin ubiquitination. FIG. 3A shows SDS-PAGE analysis of cell extracts containing frataxin precursor and ubiquitin-conjugate frataxin. FIG. 3B shows the relative ubiquitination levels, quantitated as the densitometric ratio between ubiquitinated frataxin bands and frataxin precursor bands for each MG132-treated lanes.

FIGS. 4A-4B illustrate that UCMs promote frataxin accumulation by preventing K147-dependent degradation. FIG. 4A shows the SDS-PAGE analysis of cell extracts containing frataxin precursor. FIG. 4B shows the relative frataxin precursor levels as quantitated by densitometric analysis.

FIG. 5 illustrates that UCMs interact with frataxin.

FIGS. 6A-6C illustrate that UCMs promote frataxin accumulation in FRDA cells and rescue the aconitase defect. FIG. 6A shows the results for the cell line FRDA 798 and a control, FRDA 241. FIG. 6B shows the results for the cell line FRDA 214 and a control, FRDA 215. FIG. 6C shows the significant increase in aconitases activity in FRDA 214 after treatment with UCM108 for 5 days.

FIG. 7 illustrates that the compound UCM 166 promotes frataxin accumulation in FRDA cells.

BEST MODE FOR CARRYING OUT THE INVENTION

Described herein are compositions and methods for the treatment of Freidreich's ataxia. The present disclosure relates to the surprising discovery that Freidreich's ataxia can be treated by inhibiting degradation of frataxin by the Ubiquitin-Proteasome System. Frataxin is directly modified by ubiquitin, and lysine¹⁴⁷ is the critical residue responsible for frataxin ubiquitination and subsequent degradation.

Described herein are compounds and methods for treating Friedreich's ataxia. In some aspects, methods of treating Friedreich's ataxia are described, wherein the frataxin molecular pocket harboring lysine¹⁴⁷ is targeted. In further aspects, methods for inhibiting frataxin ubiquitination and degradation are described, wherein the molecular pocket harboring lysine¹⁴⁷ is targeted. In further aspects, methods for increasing frataxin levels are described, wherein the molecular pocket harboring lysine¹⁴⁷ is targeted.

The site of frataxin ubiquitination is at a molecular pocket harboring lysine¹⁴⁷. In certain aspects, the present disclosure provides a description of the molecular pocket harboring lysine¹⁴⁷. In further aspects, methods of blocking ubiquitin from accessing the molecular pocket harboring lysine¹⁴⁷ are provided.

In certain aspects, compounds are provided for inhibiting ubiquitin-mediated degradation by targeting the frataxin molecular pocket harboring lysine¹⁴⁷. The compounds of the present disclosure may be any compound capable of inhibiting ubiquitin-mediated degradation of frataxin by targeting the molecular pocket harboring lysine¹⁴⁷. In further aspects, the compounds of the present disclosure are used to treat Friedreich's ataxia by binding and blocking the frataxin molecular pocket harboring lysine¹⁴⁷. In further aspects, the compounds of the present disclosure are used to increase frataxin levels by binding and blocking the frataxin molecular pocket harboring lysine¹⁴⁷.

Definitions

Unless otherwise stated, the following terms used in this application, including the specification and claims, have the definitions given below. It must be noted that, as used in the specification and the appended claims, the singular forms “a,” “an” and “the” include plural referents unless the context clearly dictates otherwise. Definition of standard chemistry terms may be found in reference works, including Carey and Sundberg (2007) “Advanced Organic Chemistry 5^(th) Ed.” Vols. A and B, Springer Science+Business Media LLC, New York. The practice of the present invention will employ, unless otherwise indicated, conventional methods of synthetic organic chemistry, X-ray crystallography, protein NMR, mass spectroscopy, protein chemistry, biochemistry, preparative and analytical methods of chromatography, recombinant DNA techniques and pharmacology, within the skill of the art.

Any terms not directly defined herein shall be understood to have the meanings commonly associated with them as understood within the art of the invention. Certain terms are discussed herein to provide additional guidance to the practitioner in describing the compositions, devices, methods and the like of aspects of the invention, and how to make or use them. It will be appreciated that the same thing can be said in more than one way. Consequently, alternative language and synonyms can be used for any one or more of the terms discussed herein. No significance is to be placed upon whether or not a term is elaborated or discussed herein. Some synonyms or substitutable methods, materials and the like are provided. Recital of one or a few synonyms or equivalents does not exclude use of other synonyms or equivalents, unless it is explicitly stated. Use of examples, including examples of terms, is for illustrative purposes only and does not limit the scope and meaning of the aspects of the invention herein.

The term “about” as used herein to modify a numerical value indicates a defined range around that value. If “X” were the value, “about X” would generally indicate a value from 0.95X to 1.05X. Any reference to “about X” specifically indicates at least the values X, 0.95X, 0.96X, 0.97X, 0.98X, 0.99X, 1.01X, 1.02X, 1.03X, 1.04X, and 1.05X. Thus, “about X” is intended to teach and provide written description support for a claim limitation of, e.g., “0.98X.” When the quantity “X” only includes whole-integer values (e.g., “X carbons”), “about X” indicates the values X, X−1, and X+1.

When the term “about” is applied to the beginning of a numerical range, it applies to both ends of the range. Thus, “from about 5 to 20%” is equivalent to “from about 5% to about 20%.” When “about” is applied to the first value of a set of values, it applies to all values in that set. Thus, “about 7, 9, or 11” is equivalent to “about 7, about 9, or about 11.” However, when the modifier “about” is applied to describe only the end of a range or only a later value in a set of values, it applies only to that value or that end of the range. Thus, the range “about 2 to 10” is the same as “about 2 to about 10,” but the range “2 to about 10” is not.

The term “alkenyl” as used herein includes substituted or unsubstituted, straight and branched chain alkene radicals, including both the E- and Z-forms, containing from two to eight carbon atoms. The alkenyl group may be optionally substituted with one or more substituents selected from the group consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle. In some embodiments, the alkenyl group is not optionally substituted. In some embodiments, the alkenyl group has 1, 2, or 3 substituents.

The term “alkyl” as used herein includes substituted or unsubstituted, straight and branched chain alkyl radicals containing from one to fifteen carbon atoms. The alkyl group may be optionally substituted with one or more substituents selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle. In some embodiments, the alkyl group is not optionally substituted. In some embodiments, the alkyl group has 1, 2, or 3 substituents (e.g., trifluoromethyl).

The term “alkoxy” as used herein includes an oxygen with a C₁-C₈ alkyl group (e.g.,

C₁-C₆) group as a substituent and includes methoxy, ethoxy, butoxy, trifluromethoxy and the like. If the alkoxy group is optionally substituted, it also includes divalent substituents linked to two separated oxygen atoms such as, without limitation, —O—(CH₂)₁₋₄—O—, —O—CF₂—O—, —O—(CH₂)₁₋₄—O—(CH₂CH₂—O)₁₋₄— and —(O—CH₂CH₂—O)₁₋₄—. In some embodiments, the alkoxy group is not optionally substituted. In some embodiments, the alkoxy group has 1, 2, or 3 substituents, which are preferably fluoro substituents (e.g., trifluoromethoxy).

The term “alkynyl” as used herein includes substituted or unsubstituted, straight and branched carbon chain containing from two to eight carbon atoms and having at least one carbon-carbon triple bond. The term alkynyl includes, for example ethynyl, 1-propynyl, 2- propynyl, 1-butynyl, 3-methyl-1-butynyl and the like. The alkynyl group may be optionally substituted with one or more substituents selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle. In some embodiments, the alkynyl group is not optionally substituted. In some embodiments, the alkynyl group has 1, 2, or 3 substituents.

“Antibody” refers to a polypeptide comprising a framework region from an immunoglobulin gene or fragments thereof that specifically binds and recognizes an antigen. The recognized immunoglobulin genes include the kappa, lambda, alpha, gamma, delta, epsilon, and mu constant region genes, as well as the myriad immunoglobulin variable region genes. Light chains are classified as either kappa or lambda. Heavy chains are classified as gamma, mu, alpha, delta, or epsilon, which in turn define the immunoglobulin classes, IgG, IgM, IgA, IgD and IgE, respectively. Typically, the antigen-binding region of an antibody will be most critical in specificity and affinity of binding.

Antibodies of the present invention can be described or specified in terms of the epitope(s) or portion(s) of a polypeptide of the present invention which are recognized or specifically bound by the antibody. The epitope(s) or polypeptide portion(s) can be specified as described herein, e.g., by N-terminal and C-terminal positions, by size in contiguous amino acid residues.

The terms “aryl” as used herein includes substituted or unsubstituted single-ring and multiple aromatic groups (for example, phenyl, pyridyl and pyrazole, etc.) and polycyclic ring systems (naphthyl and quinolinyl, etc.). In some embodiments, the aryl group is phenyl or substituted phenyl. The polycyclic rings may have two or more rings in which two atoms are common to two adjoining rings (the rings are “fused”) wherein at least one of the rings is aromatic, e.g., the other rings can be cycloalkyls, cycloalkenyls, aryl, heterocycles and/or heteroaryls. The aryl group may be optionally substituted with one or more substituents selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle. In some embodiments, the aryl group is not optionally substituted. In some embodiments, the arylalkyl group has 1, 2, 3, 4, or 5 substituents (e.g., 1, 2, or 3 substituents).

The term “arylalkyl” as used herein includes a C₁-C₆ alkyl group which has as a substituent an aromatic group, which aromatic group may be substituted or unsubstituted. The aralkyl group may be optionally substituted with one or more substituents selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle. In some embodiments, the arylalkyl group is not optionally substituted. In some embodiments, the arylalkyl group has 1, 2, 3, 4, or 5 substituents on the aryl ring. In some embodiments, the arylalkyl group has 1 or 2 substituents on the C₁-C₆ alkyl grouping.

The linking term “comprising” or “comprise” as used herein is not closed. For example, “a composition comprising A” must include at least the component A, but it may also include one or more other components (e.g., B; B and C; B, C, and D; and the like).

The term “cycloalkyl” as used herein includes substituted or unsubstituted cyclic alkyl radicals containing from three to twelve carbon atoms and includes cyclopropyl, cyclopentyl, cyclohexyl and the like. The term “cycloalkyl” also includes polycyclic systems having two rings in which two or more atoms are common to two adjoining rings (the rings are “fused”). The cycloalkyl group may be optionally substituted with one or more substituents selected from C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle. In some embodiments, the cycloalkyl group is unsubstituted. In some embodiments, the cycloalkyl group has 1, 2, 3, 4, or 5 substitutents. In some embodiments, the cycloalkyl group has 1, 2, or 3 substitutents.

The term “fluoroalkyl” as used herein includes an alkyl group with at least one fluoro substituent. Examples include trifluoromethyl and difluoromethyl. In some embodiments, the fluoroalkyl group has only fluoro or hydrogen substituents. In some embodiments, the fluoroalkyl group has 1, 2, or 3 other substituents.

The term “halo” or “halogen” as used herein includes fluorine, chlorine, bromine and iodine. In some embodiments, the halo group is chlorine or bromine. In some embodiments, the halo group is fluorine.

The term “heterocycle” or “heterocyclic” as used herein includes substituted or unsubstituted aromatic and non-aromatic cyclic radicals having at least one heteroatom as a ring member. Preferred heterocyclic groups are those containing five or six ring atoms that include at least one hetero atom, which may include cyclic amines such as morpholino, piperidino, pyrrolidino and the like; and cyclic ethers, such as tetrahydrofuran, tetrahydropyran and the like. Aromatic heterocyclic groups, also termed “heteroaryl” groups, includes single-ring hetero-aromatic groups that may include from one to three heteroatoms, for example, pyrrole, furan, thiophene, imidazole, oxazole, thiazole, triazole, pyrazole, oxodiazole, thiadiazole, pyridine, pyrazine, pyridazine, pyrimidine and the like. The term heteroaryl also includes polycyclic hetero-aromatic systems having two or more rings in which two or more atoms are common to two adjoining rings (the rings are “fused”) wherein at least one of the rings is a heteroaryl, e.g., the other rings can be cycloalkyls, cycloalkenyls, aryl, heterocycles and/or heteroaryls. Examples of polycyclic heteroaromatic systems include quinoline, isoquinoline, cinnoline, tetrahydroisoquinoline, quinoxaline, quinazoline, benzimidazole, benzofuran, benzothiophene, benzoxazole, benzothiazole, indazole, purine, benzotriazole, pyrrolepyridine, pyrrazolopyridine and the like. The heterocyclic group may be optionally substituted with one or more substituents selected from the group consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, arylalkyl, cycloalkyl, or heterocycle. In some embodiments, the heterocyclic group is unsubstituted. In some embodiments, the heterocyclic group has 1, 2, 3, 4, or 5 substitutents. In some embodiments, the heterocyclic group has 1, 2, or 3 substitutents.

When any two substituent groups or any two instances of the same substituent group are “independently selected” from a list of alternatives, the groups may be the same or different. For example, if R^(a) and R^(b) are independently selected from the group consisting of alkyl, fluoro, amino, and hydroxyalkyl, then a molecule with two R^(a) groups and two R^(b) groups could have all groups be alkyl group (e.g., four different alkyl groups). Alternatively, the first R^(a) could be alkyl, the second R^(a) could be fluoro, the first R^(b) could be hydroxyalkyl, and the second R^(b) could be amino (or any other substituents taken from the group). Alternatively, both Ra and the first R^(b) could be fluoro, while the second R^(b) could be alkyl (i.e., some pairs of substituent groups may be the same, while other pairs may be different).

As used herein to refer to a substiuent, “lower” refers to a substituent containing one to six carbons (i.e., “C₁-C₆,” which is used interchangeably).

As used herein, “or” should in general be construed non-exclusively. For example, an embodiment of “a composition comprising A or B” would typically present an aspect with a composition comprising both A and B. “Or” should, however, be construed to exclude those aspects presented that cannot be combined without contradiction (e.g., a composition pH that is between 9 and 10 or between 7 and 8).

“Pharmaceutically acceptable salt” refers to a salt of a compound of the invention which is made with counterions understood in the art to be generally acceptable for pharmaceutical uses and which possesses the desired pharmacological activity of the parent compound. Such salts include: (1) acid addition salts, formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; or formed with organic acids such as acetic acid, propionic acid, hexanoic acid, cyclopentanepropionic acid, glycolic acid, pyruvic acid, lactic acid, malonic acid, succinic acid, malic acid, maleic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, 3-(4-hydroxybenzoyl) benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, 1,2-ethane-disulfonic acid, 2-hydroxyethanesulfonic acid, benzenesulfonic acid, 4-chlorobenzenesulfonic acid, 2-naphthalenesulfonic acid, 4-toluenesulfonic acid, camphorsulfonic acid, 4-methylbicyclo[2.2.2]-oct-2-ene-l-carboxylic acid, glucoheptonic acid, 3-phenylpropionic acid, trimethylacetic acid, tertiary butylacetic acid, lauryl sulfuric acid, gluconic acid, glutamic acid, hydroxynaphthoic acid, salicylic acid, stearic acid, muconic acid and the like; or (2) salts formed when an acidic proton present in the parent compound is replaced by a metal ion, e.g., an alkali metal ion, an alkaline earth ion, or an aluminum ion; or coordinates with an organic base such as ethanolamine, diethanolamine, triethanolamine, N-methylglucamine, morpholine, piperidine, dimethylamine, diethylamine and the like. Also included are salts of amino acids such as arginates and the like, and salts of organic acids like glucurmic or galactunoric acids and the like (see, e.g., Berge et al., 1977, J. Pharm. Sci. 66:1-19).

“Specific binding” refers to the ability of two molecules to bind to each other in preference to binding to other molecules in the environment. Typically, “specific binding” discriminates over adventitious binding in a reaction by at least two-fold, more typically by at least 10-fold, often at least 100-fold. Typically, the affinity or avidity of a specific binding reaction, as quantified by a dissociation constant, is about 10⁻⁷ M or stronger (e.g., about 10⁻⁸ M, 10⁻⁹ M or even stronger).

In the Summary of the Invention above, Modes, and the claims below, reference is made to particular features and aspects of the invention, including method steps. The disclosure of the invention in this specification includes all possible combinations of such particular features within the embodiments of the invention disclosed, at least to the extent that such combinations are non-contradictory. For example, if the Detailed Description presents an aspect with embodiments A, B, and C, it is understood that this discloses combined, more specific embodiments that include both aspects A and B, both aspects B and C, and both aspects A and C, as well as an embodiment with the features of A, B, and C.

Methods for treating Friedrich's ataxia

In a first aspect, the invention provides a method of treating Friedreich's ataxia in a subject in need thereof, comprising administering to a subject a therapeutically effective amount of a polycyclic compound or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof;

-   -   wherein the polycyclic compound is of a formula selected from         the group consisting of:

wherein:

-   -   X is a linking group selected from the group consisting of         —S(O)₂— and —C(O)—;     -   R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each         independently selected from the group consisting of hydrogen,         lower alkyl, fluoroalkyl, aryl, and heteroaryl; wherein the aryl         or heteroaryl group has from 0 to 3 R⁴ substituents;     -   R² is a first cyclic group selected from the group consisting of         phenyl, naphthyl, and heteroaryl; wherein the R² group has from         0 to 3 R⁴ substituents;     -   R³ is a second cyclic group selected from the group consisting         of phenyl, naphthyl, and heteroaryl; wherein the R³ group has         from 0 to 4 R⁴ substituents;     -   each R⁴ substituent is independently selected from the group         consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆         alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —C(O)R⁵, —NHC(O)R⁵,         —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷,         —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic R⁴         substituent is selected from the group consisting of aryl,         heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl,         cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴         substituent has from 0 to 3 R⁸ substituents;     -   each R⁵, R⁶, or R⁷ is independently H, C₁-C₆ alkyl, C₂-C₆         alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, or a cyclic R⁵         substituent; wherein the cyclic R⁵ substituent is selected from         the group consisting of aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl;         and wherein the cyclic R⁵ substituent has from 0 to 3 R⁸         substituents; and     -   each R⁸ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, halo, aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, or heterocyclyl;         and     -   wherein adjacent R⁴, R⁵, R⁶, or R⁷ substituents may optionally         join to form an additional fused ring selected from the group         consisting of aryl, heteroaryl, cycloalkyl, and heterocyclyl;         wherein the additional fused ring has from 0 to 3 R⁸         substituents.

In some embodiments, the polycyclic compound formula is selected from those described in Table 1.

Examplary compounds to be used with the disclosed methods have been identified through the screening methods disclosed herein. These compounds include the structures set forth in Table 1.

TABLE 1 Exemplary Bridges

In an alternative first aspect, the present invention provides a method of treating Friedreich's ataxia in a subject in need thereof, comprising administering to a subject a therapeutically effective amount of a polycyclic compound or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof;

-   -   wherein the polycyclic compound is of a formula:

wherein:

-   -   X is a linking group selected from the group consisting of         —S(O)₂— and —C(O)—;     -   R^(1a) and R^(1b) are each independently selected from the group         consisting of hydrogen, lower alkyl, fluoroalkyl, aryl, and         heteroaryl; wherein the aryl or heteroaryl group has from 0 to 3         R⁴ substituents;     -   R² is a first cyclic group selected from the group consisting of         phenyl, naphthyl, and heteroaryl; wherein the R² group has from         0 to 3 R⁴ substituents;     -   R³ is a second cyclic group selected from the group consisting         of phenyl, naphthyl, and heteroaryl; wherein the R³ group has         from 0 to 4 R⁴ substituents;     -   each R⁴ substituent is independently selected from the group         consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆         alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —C(O)R⁵, —NHC(O)R⁵,         —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷,         —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic     -   R⁴ substituent is selected from the group consisting of aryl,         heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl,         cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴         substituent has from 0 to 3 R⁸ substituents;     -   each R⁵, R⁶, or R⁷ is independently H, C₁-C₆ alkyl, C₂-C₆         alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, or a cyclic R⁵         substituent; wherein the cyclic R⁵ substituent is selected from         the group consisting of aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl;         and wherein the cyclic R⁵ substituent has from 0 to 3 R⁸         substituents; and each R⁸ is independently C₁-C₆ alkyl, C₂-C₆         alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, heteroaryl,         arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, or         heterocyclyl; and     -   wherein adjacent R⁴, R⁵, R⁶, or R⁷ substituents may optionally         join to form an additional fused ring selected from the group         consisting of aryl, heteroaryl, cycloalkyl, and heterocyclyl;         wherein the additional fused ring has from 0 to 3 R⁸         substituents.

In some embodiments of either aspect, the method has the proviso that the polycyclic compound is not disclosed in U.S. Pat. No. 8,703,749.

In some embodiments of either aspect, X is —S(O)₂—.

In some embodiments of either aspect, X is —C(O)—.

In some embodiments of either aspect, R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each independently selected from the group consisting of hydrogen, lower alkyl, and aryl.

In some embodiments of either aspect, R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each independently selected from the group consisting of hydrogen and lower alkyl.

In some embodiments of either aspect, R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each independently selected from the group consisting of hydrogen, methyl, and phenyl.

In some embodiments of either aspect, R² is selected from the substituents that are listed in Table 2.

TABLE 2 Compounds

ENTRY R³ R¹ X R²  1

H

 2

—CH₃

 3

 4

 5

 6

 7

 8

 9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

In some embodiments of either aspect, R² is a phenyl group substituted with from 0 to 3 R⁴ substituents.

In some embodiments of either aspect, R² is a naphthyl group substituted with from 0 to 3 R⁴ substituents.

In some embodiments of either aspect, the R⁴ substituents for the R² groups are independently selected from the group consisting of halo, lower alkyl, hydroxyl, and alkoxy.

In some embodiments of either aspect, R³ is an aryl group substituted with from 0 to 3 R⁴ substituents. In some embodiments of either aspect, R³ is 1,2,3,4-tetrahydronaphthalen-6-yl or 2-methoxynaphthalen-6-yl. In some embodiments of either aspect, R³ is 4-cyanophenyl.

In some embodiments of either aspect, R³ is a heteroaryl group substituted with from 0 to 3 R⁴ substituents. In some embodiments of either aspect, R³ is 3-oxo-3,4-dihydro-2H-benzo[b][1,4]oxazin-6-yl.

In some embodiments of either aspect, R³ is a phenothiazinyl group with from 0 to 3 R⁴ substituents. In some embodiments, R³ is 10,10a-dihydro-4aH-phenothiazin-2-yl.

In some embodiments of either aspect, the R⁴ substituents for the R³ groups are independently selected from the group consisting of halo, lower alkyl, hydroxyl, and alkoxy.

In some embodiments of either aspect, the R⁴ substituents for the R³ groups are independently selected from those that are listed in Table 2.

In some embodiments of either aspect, each R⁴ substituent is independently selected from the group consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —S(O)R⁵, —S(O)₂R⁵, —C(O)R⁵, —NHC(O)R⁵, —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷, —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic R⁴ substituent is selected from the group consisting of aryl, heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴ substituent has from 0 to 3 R⁸ substituents.

In some embodiments of either aspect, each R⁴, R⁵, R⁶, R⁷, or R⁸ is independently H, C₁-C₆ alkyl, halo, —NO₂, —CF₃, —CN, or C₁-C₆ alkoxy.

In some embodiments of either aspect, at least one R⁴ is a halogen. In some embodiments of either aspect, at least one R⁴ is —CN. In some embodiments of either aspect, at least one R⁴ is a C₁-C₆ alkoxy (e.g., methoxy).

Certain of the compounds useful in the disclosed methods undergo tautomerization. In those instances, the tautomers of the compounds are included within the scope compounds of disclosed formula I.

In one embodiment, the compound core structure is as in Table 2; R¹ is C₁-C₆ alkyl (e.g., methyl); R² is phenyl with 0 to 3 R⁴ substituents (e.g., 2-methoxyphenyl); R³ is a phenothiazinyl group with from 0 to 3 R⁴ substituents (e.g., R³ in entry 1 of Table 2); and X is (C═O).

In one preferred embodiment, the compound is UCM166:

In some embodiments of either aspect, the method of treating Friedreich's ataxia comprises inhibiting ubiquitination of frataxin.

In some embodiments of either aspect, the subject is a mammal.

In some embodiments of either aspect, the mammal is a human.

Methods for Inhibiting the Ubiquitination of Frataxin

In a second aspect, the invention provides a method of inhibiting ubiquitination of frataxin in a subject comprising administering to the subject a therapeutically effective amount of a compound as described herein, or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof. In some embodiments, the compound is selected from Table 1, Table 2, or Table 3.

In some embodiments, at least one R⁴ is a halogen.

In some embodiments, inhibiting the ubiquitination of frataxin comprises blocking binding by ubiquitin of lysine 147 of frataxin, wherein frataxin has the sequence of SEQ ID NO:1 as disclosed in U.S. Pat. No. 8,703,749.

In some aspects, the compounds disclosed with respect to either first aspect inhibit ubiquitin-mediated degradation by binding and blocking the frataxin molecular pocket harboring lysine¹⁴⁷. In further aspects, these compounds are used to treat Friedreich's ataxia by binding and blocking the frataxin molecular pocket harboring lysine¹⁴⁷. In further aspects, these compounds are used to increase frataxin levels by binding and blocking the frataxin molecular pocket harboring lysine¹⁴⁷.

Methods for Preparing Compounds for Treating Friedreich's Ataxia and/or Inhibiting Ubiquitination of Frataxin

The compounds used in the methods of the invention can be synthesized via the routes shown in Schemes 1-20. One of skill in the art will appreciate, however, that other well-known methods for preparing the compounds can be used. Such methods are described, for example, in March's Advanced Organic Chemistry (John Wiley and Sons, 6th Edition, 2007) and Larock's Comprehensive Organic Transformations (VCH Publishers Inc., 1989).

The reactions in Scheme 3 can be conducted according to methods described by Yang et al. [Bioorg. Med. Chem. 20 (2012) 6048-58].

The reactions in Scheme 4 can be conducted according to methods described by Luckhurst et al. [Tetrahedron Letters 48 (2007) 8878-8882] and Chatterjee et al. [Angewandte Chemie 52 (1) (2013) 254-69].

The reactions in Scheme 5 can be conducted according to methods described by Ghorbani-Vaghei et al. [Synthesis, (6), 945-50; 2009] and Vanjari [Org. Lett., Vol. 15, No. 18, 2013].

The reactions in Scheme 6 can be conducted according to methods described by Castells Boliart et al. [U.S. Pat. Appl. Publ., 2012/0149909].

The reactions in Scheme 7 can be conducted according to methods described by Niwata et al. [J. Med. Chem., 1997, Vol. 40, No. 14,2156-63].

The reactions in Scheme 8 can be conducted according to methods described by Lee et al. [Tetrahedron Letters 44 (2003) 1231-34].

The reactions in Scheme 9 can be conducted according to methods described by Cuconati et al. [PCT Int. Appl., 2013/052613].

The reactions in Scheme 10 can be conducted according to methods described by

Boström et al. [J. Med. Chem. 2012, 55, 1817-30].

The reactions in Scheme 11 can be conducted according to methods described by Bocanegra-Garcia et al. [Medicinal Chemistry, 8(6), 1039-44; 2012].

The reactions in Scheme 12 can be conducted according to methods described by Xiang et al. [U.S. Pat. Appl. Publ., 20060025445, 2 Feb. 2006].

The reactions in Scheme 13 can be conducted according to methods described by Lakner et al. [Synthesis, (12), 1987-1990; 2009].

The reactions in Scheme 14 can be conducted according to methods described by Huang and Xu[Journal of Chemical Research, 37(2), 77-79; 2013].

The reactions in Scheme 15 can be conducted according to methods described by Wang et al. [Tetrahedron Letters, 48(30), 5181-5184; 2007].

The reactions in Scheme 16 can be conducted according to methods described by Wang et al. [Chemical Communications, 47(40), 11336-11338; 2011]

The reactions in Scheme 17 can be conducted according to methods described by Yuan et al. [Journal of Organic Chemistry, 78(11), 5385-5392; 2013].

The reactions in Scheme 18 can be conducted according to methods described by

Zyabrev et al. [Zhurnal Organicheskoi Khimii, 30(5), 715-19; 1994].

The reactions in Scheme 19 can be conducted according to methods described by Lakner, Frederick J. et al. [Synthesis, (12), 1987-1990; 2009].

The reactions in Scheme 20 can be conducted according to well-known methods as set forth above.

Pharmaceutical Compositions

In a third aspect, the invention provides a pharmaceutical composition comprising a therapeutically effective amount of a polycyclic compound or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof;

-   -   wherein the polycyclic compound is of a formula selected from         the group consisting of:

wherein:

X is a linking group selected from the group consisting of —S(O)₂— and —C(O)—;

-   -   R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each         independently selected from the group consisting of hydrogen,         lower alkyl, fluoroalkyl, aryl, and heteroaryl; wherein the aryl         or heteroaryl group has from 0 to 3 R⁴ substituents;     -   R² is a first cyclic group selected from the group consisting of         phenyl, naphthyl, and heteroaryl; wherein the R² group has from         0 to 3 R⁴ substituents;     -   R³ is a second cyclic group selected from the group consisting         of phenyl, naphthyl, and heteroaryl; wherein the R³ group has         from 0 to 4 R⁴ substituents;     -   each R⁴ substituent is independently selected from the group         consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆         alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —C(O)R⁵, —NHC(O)R⁵,         —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷,         —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic R⁴         substituent is selected from the group consisting of aryl,         heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl,         cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴         substituent has from 0 to 3 R⁸ substituents;     -   each R⁵, R⁶, or R⁷ is independently H, C₁-C₆ alkyl, C₂-C₆         alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, or a cyclic R⁵         substituent; wherein the cyclic R⁵ substituent is selected from         the group consisting of aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl;         and wherein the cyclic R⁵ substituent has from 0 to 3 R⁸         substituents; and     -   each R⁸ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆         alkynyl, C₁-C₆ alkoxy, halo, aryl, heteroaryl, arylalkyl,         heteroarylalkyl, cycloalkyl, cycloalkylalkyl, or heterocyclyl;         and     -   wherein adjacent R⁴, R⁵, R⁶, or R⁷ substituents may optionally         join to form an additional fused ring selected from the group         consisting of aryl, heteroaryl, cycloalkyl, and heterocyclyl;         wherein the additional fused ring has from 0 to 3 R⁸         substituents.

The compounds described herein can be used as pharmaceutical compositions comprising the compounds, together with one or more pharmaceutically acceptable excipients or vehicles, and optionally other therapeutic and/or prophylactic ingredients. Such excipients include liquids such as water, saline, glycerol, polyethyleneglycol, hyaluronic acid, ethanol, cyclodextrins, modified cyclodextrins (i.e., sufobutyl ether cyclodextrins) etc. Suitable excipients for non-liquid formulations are also known to those of skill in the art. Pharmaceutically acceptable salts can be used in the compositions of the present invention and include, for example, mineral acid salts such as hydrochlorides, hydrobromides, phosphates, sulfates, and the like; and the salts of organic acids such as acetates, propionates, malonates, benzoates, and the like. A thorough discussion of pharmaceutically acceptable excipients and salts is available in Remington's Pharmaceutical Sciences, 18th Edition (Easton, Pa.: Mack Publishing Company, 1990).

Additionally, auxiliary substances, such as wetting or emulsifying agents, biological buffering substances, surfactants, and the like, may be present in such vehicles. A biological buffer can be virtually any solution which is pharmacologically acceptable and which provides the formulation with the desired pH, i.e., a pH in the physiologically acceptable range. Examples of buffer solutions include saline, phosphate buffered saline, Tris buffered saline, Hank's buffered saline, and the like.

Depending on the intended mode of administration, the pharmaceutical compositions may be in the form of solid, semi-solid or liquid dosage forms, such as, for example, tablets, suppositories, pills, capsules, powders, liquids, suspensions, creams, ointments, lotions or the like, preferably in unit dosage form suitable for single administration of a precise dosage. The compositions will include an effective amount of the selected drug in combination with a pharmaceutically acceptable carrier and, in addition, may include other pharmaceutical agents, adjuvants, diluents, buffers, etc.

The invention includes a pharmaceutical composition comprising a compound of the present invention including isomers, tautomers, racemic or non-racemic mixtures of isomers, or pharmaceutically acceptable salts or solvates thereof together with one or more pharmaceutically acceptable carriers, and optionally other therapeutic and/or prophylactic ingredients.

For solid compositions, conventional nontoxic solid carriers include, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharin, talc, cellulose, glucose, sucrose, magnesium carbonate, and the like. Liquid pharmaceutically administrable compositions can, for example, be prepared by dissolving, dispersing, etc., an active compound as described herein and optional pharmaceutical adjuvants in an excipient, such as, for example, water, saline, aqueous dextrose, glycerol, ethanol, and the like, to thereby form a solution or suspension. If desired, the pharmaceutical composition to be administered may also contain minor amounts of nontoxic auxiliary substances such as wetting or emulsifying agents, pH buffering agents, tonicifying agents, and the like, for example, sodium acetate, sorbitan monolaurate, triethanolamine sodium acetate, triethanolamine oleate, etc. Actual methods of preparing such dosage forms are known, or will be apparent, to those skilled in this art; for example, see Remington's Pharmaceutical Sciences, referenced above.

For oral administration, the composition will generally take the form of a tablet, capsule, a softgel capsule or may be an aqueous or nonaqueous solution, suspension or syrup. Tablets and capsules are preferred oral administration forms. Tablets and capsules for oral use will generally include one or more commonly used carriers such as lactose and corn starch. Lubricating agents, such as magnesium stearate, are also typically added. When liquid suspensions are used, the active agent may be combined with emulsifying and suspending agents. If desired, flavoring, coloring and/or sweetening agents may be added as well. Other optional components for incorporation into an oral formulation herein include, but are not limited to, preservatives, suspending agents, thickening agents, and the like.

A pharmaceutically or therapeutically effective amount of the composition will be delivered to the subject. The precise effective amount will vary from subject to subject and will depend upon the species, age, the subject's size and health, the nature and extent of the condition being treated, recommendations of the treating physician, and the therapeutics or combination of therapeutics selected for administration. Thus, the effective amount for a given situation can be determined by routine experimentation. The subject may be administered as many doses as is required to reduce and/or alleviate the signs, symptoms, or causes of the disorder in question, or bring about any other desired alteration of a biological system.

In some aspects, the invention presents the use of a compound of any of the aspects or embodiments disclosed herein in a method of any of the aspects or embodiments disclosed herein. In some aspects, the invention presents the use of a compound of any of the aspects or embodiments disclosed herein in the manufacture of a medicament for use in a method of any of the aspects and embodiments disclosed herein.

illustration; it is not intended to be exhaustive or to limit the invention to the precise forms disclosed. Persons skilled in the relevant art can appreciate that many modifications and variations are possible in light of the above teachings. It should be noted that the language used in the specification has been principally selected for readability and instructional purposes, and it may not have been selected to delineate or circumscribe the inventive subject matter. Accordingly, the disclosure of the aspects of the invention is intended to be illustrative, but not limiting, of the scope of the invention.

All references, issued patents, and patent applications cited within the body of the specification are hereby incorporated by reference in their entirety, for all purposes except insofar as their disclosure contradicts the express disclosure herein.

EXAMPLES Example 1 General Procedure for the Synthesis of Benzhydrazide Derivatives: Representative Procedure for 2,4-Dimethylbenzohydrazide

The materials were purchased from commercial supplies and were used without any additional purification.

All reactions were monitored by thin layer chromatography (TLC) on Silica gel 60 F254 plates. The plates were then observed using UV light (365 nm and 254 nm) with tool ENF 260 C/ F UV.

The silica gel (230-400 mesh) for column chromatography was purchased from Merck. The concentration of the solutions and/ or their evaporation has required the use of a rotatory evaporator (Buchi Rotavapor), operating at reduced pressure. The organic solutions were dried over anhydrous sodium sulphate (Merck).

Melting points were taken in open capillary tubes and are uncorrected. ¹H NMR were recorded on a Bruker 300 MHz spectrometer in CDC13 or DMSO-d6 (with TMS for internal references). The chemical shifts are reported in units (ppm) relative to the internal reference tetramethylsilane (Me4Si).

All compounds were checked by TLC and ¹H-NMR. The NMR data are consistent with the structures shown.

Step 1: 2,4-dimethyl benzoic acid (9g, 59.9 mmol) was dissolved in EtOH (150 ml), then H₂SO₄ (6 ml catalysis) was added. The solution was refluxed for 12 hours. After cooling the solvent was evaporated in vacuo. Water was added and the aqueous layer was back-extracted with ethyl acetate. The combined organic extracts were first washed with saturated sodium bicarbonate and then with brine, finally dried over Na₂SO₄, filtered through cotton and concentrated in vacuo. The crude product was purified by chromatography using Silica gel as stationary phase and a mixture EtOAc/CHCl₃ (1/1) as mobile phase to give 6.75 g of pure product as white crystals. Yield: 65%

Step 2: Ethyl 2,4-dimethyl benzoate (6.75 g, 38 mmol) was dissolved in hydrazine hydrate (78 ml, 80.26 g, 2.50 mol) and refluxed for 4 hours. After cooling the solvent was evaporated in vacuo. Water was added and the aqueous layer was back-extracted with ethyl acetate. The combined organic extracts were first washed with saturated sodium bicarbonate and then with brine, finally dried over Na₂SO₄, filtered through cotton and concentrated in vacuo. The crude product was purified by crystallization in EtOH to give 4.3 g of pure product as white crystals (68% yield).

He, Lingyan et al. J. Med. Chem. 2009, 52(8), 2465-2481.

Example 2 General Procedure for the Synthesis of Benzhydrazones Derivatives

Representative procedure for N′-(1-(10H-phenothiazin-2-yl)ethylidene)-2,4-dimethylbenzohydrazide

In a round bottom flask 2,4-dimethylbenzohydrazide (1 g, 6.1 mmol) was suspended in EtOH (80 ml) and 1-(10H-phenothiazin-2-yl)ethanone (1.47 g, 6.1 mmol) was added. The mixture was refluxed for 48 hours. On heating, pale yellow crystals were formed, filtered off, washed with EtOH and Et₂O and recrystallized from EtOH to give 1.2 g of pure product as brownish crystals. Yield: 51%.

Zaky, R. R et al. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy 81, 28-34 (2011)

Example 3 Highly Effective Ubiquitin-Competing Molecules that Promote Frataxin Accumulation and Rescue the Aconitase Defect in Friedreich Ataxia Cells METHODS

Cell culture and transfections. Human embryonic kidney HEK-293 cells were cultured in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum (FBS). HEK-293 cells were transfected using Lipofectamine 2000 reagents (Invitrogen), according to the manufacturer's instructions. Cells were plated on 6 cm dishes and transfected with 8 μg of total DNA (4 μg of pIRES-frataxin and 4 μg of HA-Ub). The day after transfection, cells were treated for 24 h with 10 μM UCM together with 10 μM proteasome inhibitor MG132 and 50 ng/ml deubiquitinating enzyme (DUB) inhibitor Ub-aldehyde. HEK-293 Flp-In cells (Invitrogen) are HEK-293 variants allowing the stable and isogenic integration and expression of a transfected gene. The HEK-293 clones stably expressing frataxin¹⁻²¹⁰ or frataxin^(K147R) were previously described (Condo et al., 2007; Rufini et al., 2011). FRDA 214 (GM16214) and FRDA 798 (GM16798) lymphoblasts, from clinically affected FRDA patients, as well as FRDA 215 (GM16215) and FRDA 241 (GM16241) lymphoblasts, from the correspondent heterozygous clinically unaffected sibling, were obtained from Coriell Cell Repositories (Camden, N.J., USA) and were cultured in RPMI supplemented with 15% FBS.

Antibodies. The following antibodies were used for Western Blot analysis: mAb anti-frataxin (MAB-10876, Immunological Sciences), mAb anti-tubulin (Sigma-Aldrich) and secondary antibody horseradish peroxidase-conjugated goat anti-mouse (Pierce).

Chemicals. Proteasome inhibitors: MG132 (Sigma-Aldrich); DUB inhibitors: Ub-aldehyde (Biomol) and N-ethylmaleimide (NEM; Sigma-Aldrich). Ubiquitin-competing molecules were obtained from Enamine or were synthesized. The identity and purity of the compounds obtained were determined by TLC analysis and ¹H-NMR.

DNA constructs. The pIRES2-frataxin¹⁻²¹⁰ and pIRES2-frataxin^(K147R) constructs were previously described (Condò et al., 2006; Rufini et al., 2011). The HA-Ub construct was generated by M. Treier in Dirk Bohmann's lab (Treier et al., 1994).

Immunoblotting. Total cell extracts were prepared in IP buffer (50 mM Tris-HCl, pH 7.5, 150 mM NaCl, 1% Nonidet P-40, 5 mM EDTA, 5 mM EGTA) supplemented with Complete protease inhibitor cocktail (Roche Diagnostics). For in vivo detection of ubiquitin conjugates, 10 μM MG132, 50 ng/ml Ub-aldehyde and 2 mM NEM were added to the lysis buffer. Protein extract (50 μg) was separated by 12% SDS-PAGE, blotted onto a nitrocellulose membrane and detected with specific antibodies. The immunoreactive bands were detected by ECL (GE Healthcare) and imaged with a ChemiDoc XRS system (Bio-Rad Laboratories). Densitometric analysis was performed using the ImageLab 4.1 Software (Bio-Rad Laboratories).

Steady-state fluorescence measurements. Human recombinant frataxin precursor (aa 1-210) was expressed and purified by GenScript Corp., N.J., USA. Steady-state fluorescence spectra were recorded at 20° C. using an ISS PC1 fluorometer (Iss Inc, Champain, Ill. Usa). The affinity of frataxin for the ligands studied in this paper was determined by monitoring the decrease in Trp fluorescence upon the addition of these molecules to solutions. The concentration of the protein was 2 μM while the concentration of the ligands varied from 0.5 to 25 μM. At the excitation wavelength of 280 nm, emission spectra were recorded between 290 and 440 nm, using a 4×4 mm path-length quartz fluorescence microcuvette (Hellma GmbH & Co., Müllheim/Baden, Germany). The spectra were corrected using an instrument correction curve obtained with standard fluorescent compounds such as N-acetyl tryptophanamide (NATA). All measurements were also corrected for the inner-filter effect. To simulate the absorption of ligand molecules at the excitation and the emission wavelengths, two cuvettes (2 mm optical length), containing a solution of ligands in buffer, were placed along the excitation and emission pathways. The fluorescence of NATA was thus measured varying the concentration of quencher and four correction curves (one for each ligand) were obtained.

Data were then plotted as fractional loss of Trp fluorescence (ΔF/F0) versus ligand concentration. Experimental data were analyzed by nonlinear regression through a hyperbolic binding isotherm, using the Kaleidagraph program (Synergy Software).

Enzyme assays. For determinations of aconitases and citrate synthase activity, FRDA lymphoblasts were washed twice with ice-cold Dulbecco's Phosphate Buffered Saline (DPBS) and lysed in CelLytic M buffer (Sigma-Aldrich) supplemented with Complete protease inhibitor cocktail EDTA-free (Roche) and 2 mM trisodium citrate. Citrate was included to prevent the inactivation of iron-sulfur cluster of aconitases. Total aconitase activity was measured spectrophotometrically at 340 nm using the BIOXYTECH Aconitase-340™ Assay (OxisResearch™ 21041). The assay reactions, containing 150 μg of cell extract, were performed following the supplier's procedure, with the exception of temperature incubation at 25° C. Citrate synthase activity was assessed using 15 μg of cell extract with the Citrate Synthase Assay Kit (Sigma-Aldrich CS0720).

The aconitase activities were normalized with respect to citrate synthase ratios; one milliunit of enzyme was defined as the amount of protein that converted 1 nmol of NADP^(+ in) 1 min at 25° C.

RESULTS

Computational screening for ubiquitin-competing molecules (UCMs). In order to design small molecules able to inhibit the ubiquitination of frataxin, an extended analysis of frataxin accessible surfaces has been performed, extending our previous work, by taking into account protein flexibility. This analysis allowed us to identify more druggable binding pockets on frataxin. By focusing our analysis on the areas more proximal to K147, and by using virtual screening of commercially available compound libraries, about a thousand compounds were docked on available NMR and x-ray structures of human frataxin. These molecules were predicted to interact with frataxin near to K147 (FIGS. 1A-1D).

FIGS. 1A-1D show a model of UCM71 docking to frataxin. The crystal structure of frataxin (gray cartoon) with solvent accessible molecular surface around the W155 pocket is shown in FIG. 1A. Overall structure as grey cartoon, molecular surface colored by lipophilicity (hydrophilic in magenta, lipophilic in green).

FIG. 1B shows the W155 pocket with the ligand UCM71 (ball and stick, CPK colors): the solvent accessible ligand surface (light blue mesh) fits perfectly with the naphtyl moiety buried by W155, P163, and 5157. The phenothiazine ring recognizes the flat region formed by N146 and K147 (label not shown for clarity) and delimited by side chains of V131, 5129, T149, and Q148.

FIG. 1C shows selected interactions of UCM71 with frataxin. Hydrogen bonds are formed between the hydroxyl substituent of the naphtyl group and the side chain of N146 and between the carbonyl group of the carbonyl-hydrazone scaffold and the hydroxyl of S157. These interactions induce minor rearrangements in the involved side-chains of N146 (flip of terminal amide) and S157.

As shown in FIG. 1D, the flexibility of the carbonyl-hydrazone scaffold permits the flip of phenothiazine moiety to points its central amino group toward Q148 inducing the flip of the amide group of its side chain resulting in the formation of a strong hydrogen bond.

Promising candidates were subjected to functional validation.

UCMs increase frataxin levels. To validate UCM activity, UCMs were tested their effect in human HEK-293 cells stably expressing single copy frataxin (293-frataxin). These cells allow the detection of all forms of frataxin, including the frataxin precursor. Compounds that were able to enhance frataxin precursor levels were synthesized, further chemically modified according to the docking model and tested again in 293-frataxin. Approximately 200 new candidate UCMs were tested in functional assays. Through this iterative process, new UCMs that promote frataxin precursor with surprising efficiency were identified. Indeed, treatment of 293-frataxin cells with 10 μM UCM53, UCM108 and UCM71 is able to induce frataxin precursor accumulation (FIG. 2A) more efficiently than the previously described UCM2, (referred to as NSC620301 in (Rufini et al., 2011)) or with the proteasome inihibitor MG132. Importantly, an accumulation of mature frataxin can also be observed in these cells when treatment is prolonged for 3 days (FIG. 2B).

Detection of frataxin precursor accumulation is shown in FIG. 2A. 293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ were treated for 24 hrs with 10 μM of the indicated UCM or 10 μM MG132 (MG). Total cell extracts were resolved on SDS-PAGE and analyzed with anti-frataxin antibody, or anti-tubulin, as a loading control. Pre: precursor; tub: tubulin.

Detection of mature frataxin accumulation is shown in FIG. 2B. 293 Flp-In cells stably expressing frataxin¹⁻²¹⁰ were treated for 72 hrs with 10 μM of the indicated UCM. Total cell extracts were resolved on SDS-PAGE and analyzed with anti-frataxin antibody, or anti-tubulin, as a loading control. Pre: precursor, int: intermediate, mat: mature; tub: tubulin.

Structures of the active compounds described in this study are shown in Table 3.

TABLE 3 Chemical structure of the active compounds described in the present study. Compound name Structure UCM53

UCM71

UCM108

UCMs prevent frataxin ubiquitination. To test whether the new compounds promote frataxin accumulation by preventing its ubiquitin/proteasome-dependent degradation, their impact on frataxin ubiquitination was evaluated. To this aim, an in vivo ubiquitination assay was performed. HEK-293 cells were transiently co-transfected with HA-tagged-ubiquitin and frataxin, in the presence of proteasome inhibitor and deubiquitinase inhibitor to allow the accumulation of ubiquitinated species, in the presence of the selected compounds. The ubiquitination status of frataxin was evaluated by SDS-PAGE of total cell lysates and anti-frataxin immunoblotting. As previously described, in this experimental setting, frataxin monoubiquitinated forms can be detected by anti-frataxin antibody as a slower migrating band above frataxin precursor (Rufini et al., 2011). Ubiquitination level was measured as the ratio between the levels of ubiquitinated frataxin and frataxin precursor. As shown in FIGS. 3A-3B, UCM53 and UCM71 but not the control non-effective molecule UCM57, can significantly abrogate frataxin ubiquitination. These data suggest that the selected UCMs interfere with frataxin ubiquitination in living cells.

FIG. 3A shows SDS-PAGE analysis of cell extracts containing frataxin precursor and ubiquitin-conjugate frataxin. 293 cells were transiently co-transfected with HA-Ub and frataxin¹⁻²¹⁰. 24 hours after transfection, cells were treated with 10 μM of the indicated UCM or with DMSO alone (contr). UCM57 was used as a non-effective control molecule. Cells were harvested 48 hours after transfection. Where indicated (MG), cells were also treated with 10 μM MG132 and 50 ng/ml ubiquitin-aldehyde for the last 16 hours. Total cell extracts were resolved on SDS-PAGE and revealed with anti-frataxin antibody. The arrows indicate the bands corresponding to frataxin precursor (Fxn-pre) and ubiquitin-conjugated frataxin (Ub-Fxn). Relative ubiquitination levels, quantitated as the densitometric ratio between ubiquitinated frataxin bands and frataxin precursor bands for each MG132-treated lanes, are plotted in FIG. 3B.

UCM promote frataxin accumulation by preventing K147-dependent degradation. K147 is the crucial ubiquitination site on frataxin, which was previously shown by this laboratory. Since these compounds are able to efficiently abrogate frataxin ubiquitination, they are believed to act by interfering with ubiquitination on K147. Thus, to validate this hypothesis, their effect on the frataxin mutant that lacks K147 was evaluated. This mutant cannot be ubiquitinated and is therefore resistant to UPS-mediated degradation. Small molecules that act by preventing ubiquitination on K147 are believed to be ineffective on this mutant. Therefore, their effect on HEK-293 cells stably expressing the ubiquitin-refractory frataxin^(K147R) mutant (293-frataxin^(K147R)) was tested. Cells were treated for 24 hours with the indicated compounds and frataxin precursor levels analysed by western blot on total cell extract. Indeed, when 293-frataxin^(K147R) are treated with the selected UCM, no significant increase in frataxin precursor levels could be detected (FIGS. 4A-4B), compared to what was observed in 293-frataxin, expressing wild-type frataxin. These data are consistent with UCM acting on frataxin by interfering with the K147-dependent degradation pathway.

FIG. 4A shows the SDS-PAGE analysis of cell extracts containing frataxin precursor. 293 Flp-In cells stably expressing frataxin¹⁻²¹⁻ (293-frataxin) or the lysine-mutant frataxin^(K147R) (293-frataxin^(K147R)) were treated for 24 hrs with 10 μM of the indicated UCM. Proteins were resolved on SDS-PAGE and revealed with anti-frataxin antibody or anti-tubulin, as a loading control. Pre: precursor; tub: tubulin. The relative frataxin precursor levels, as quantitated by densitometric analysis, are plotted in FIG. 4B.

UCMs interact with frataxin. Ubiquitin-competing molecules were selected through structure-based virtual screening for their potential ability to interact with frataxin on its ubiquitination site. Since they are in fact able to prevent frataxin ubiquitination and to interfere with its K147-dependent degradation, confirmation of their ability to physically interact with frataxin was sought. Therefore, the interaction propensities of frataxin with these molecules were investigated by fluorescence spectroscopy through the analysis of the changes of the signal of the protein tryptophan residues in the presence of the different compounds.

FIG. 5 shows the binding isotherm of the protein to three different compounds, UCM53 and UCM108 that promote frataxin accumulation, and UCM72 that is unable to promote fataxin accumulation (see below), as a control. One of the effective compounds (UCM53) was also exposed to the denatured protein. The corresponding binding affinity constants (L₁₁₂) are reported in each panel. UCM53 and UCM108 showed strong fluorescence changes (left panels) and the lowest binding affinity constants, while the control UCM72 showed the highest binding affinity constant (upper right panel). Fluorescent changes induced by UCM53 were completely lost using the denatured protein (lower right panel). These results indicate that UCM53 and UCM108 strongly interact with tryptophans likely due to a quite efficient binding.

FIG. 5 shows fluorescence studies of the interaction of 2 μM recombinant frataxin precursor with different concentration of the indicated UCM (ligand). The graphs represent the fractional loss of the protein fluorescence intensity (ΔF/F₀), in the presence of different concentration of ligand, versus the ratio between ligand and frataxin. The interaction with UCM53 was also analyzed in the case of frataxin precursor previously denaturated in 3M guanidinium hydrochloride (lower right panel). The half-saturation binding constant, L_(1/2) (μM), of frataxin precursor with different UCM is indicated in each panel.

UCM compounds promote frataxin accumulation in FRDA cells and rescue the aconitase defect. The efficacy of the UCM compounds was tested in FRDA patients-derived cells (FIGS. 6A-6B). Lymphoblast cell lines derived from two different patients, FRDA 798 and FRDA 214 were cultured for 5 days in the presence of 10 μM of UCM53 or UCM108. UCM71 could not be evaluated because of its toxicity over a long-term treatment. Frataxin levels were quantitated by western blot analysis on whole cell extracts using anti-frataxin antibody, or anti-tubulin, as a loading control. The relative frataxin abundance was quantitated by densitometric analysis and normalized with tubulin levels. One representative experiment out of five performed with similar results is shown. Tub: tubulin; mat: mature frataxin.

Importantly, a significant accumulation of mature frataxin was observed when cells were cultured in the presence of UCM53 or UCM108, compared to cells treated with vehicle alone (control), or UCM72. Frataxin levels in treated cells derived from patients are also compared to the levels observed in cells derived from unaffected carrier siblings (FRDA 241 and FRDA 215).

Moreover, to validate a functional recovery of frataxin levels, rescue of cellular aconitases activity was evaluated in FRDA cells upon treatment with UCMs. A significant increase in aconitases activity was observed in patient-derived lymphoblast cell line FRDA 214 after treatment with UCM108 for 5 days (FIG. 6C). Aconitases activity in cells derived from an unaffected carrier sibling (FRDA 215) is also shown for comparison. Thus, importantly, these data indicate that treatment with UCMs allows accumulation of a functional form of mature frataxin with consequent reactivation of ISC biogenesis.

UCM166 efficiently promotes frataxin accumulation in FRDA cells. The efficacy of a specific compound, UCM166, was tested in FRDA patients-derived cells. (The structure of UCM166 is as shown previously.) FRDA patient-derived lymphoblast cell line FRDA 203 was cultured in the presence of 1 μM of UCM166 or DMSO alone (as a control) for 4 days. Total cell extracts were resolved on SDS-PAGE and analyzed in a western blot with anti-frataxin antibody, or anti-tubulin, as a loading control. FIG. 7 represents the relative frataxin abundance as quantified by densitometric analysis and normalized with tubulin levels. The data represent the mean±S.E.M. from five different independent experiments. P-value was calculated with Student's t-test and was statistically significant (**P<0.05) compared to non-treated conditions.

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What is claimed is:
 1. A method of treating Friedreich's ataxia in a subject in need thereof, comprising administering to a subject a therapeutically effective amount of a polycyclic compound or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof; wherein the polycyclic compound is of a formula:

wherein: X is a linking group selected from the group consisting of —S(O)₂— and —C(O)—; R^(1a) and R^(1b) are each independently selected from the group consisting of hydrogen, lower alkyl, fluoroalkyl, aryl, and heteroaryl; wherein the aryl or heteroaryl group has from 0 to 3 R⁴ substituents; R² is a first cyclic group selected from the group consisting of phenyl, naphthyl, and heteroaryl; wherein the R² group has from 0 to 3 R⁴ substituents; R³ is a second cyclic group selected from the group consisting of phenyl, naphthyl, and heteroaryl; wherein the R³ group has from 0 to 4 R⁴ substituents; each R⁴ substituent is independently selected from the group consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —C(O)R⁵, —NHC(O)R⁵, —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷, —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic R⁴ substituent is selected from the group consisting of aryl, heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴ substituent has from 0 to 3 R⁸ substituents; each R⁵, R⁶, or R⁷ is independently H, C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, or a cyclic R⁵ substituent; wherein the cyclic R⁵ substituent is selected from the group consisting of aryl, heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁵ substituent has from 0 to 3 R⁸ substituents; and each R⁸ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, or heterocyclyl; and wherein adjacent R⁴, R⁵, R⁶, or R⁷ substituents may optionally join to form an additional fused ring selected from the group consisting of aryl, heteroaryl, cycloalkyl, and heterocyclyl; wherein the additional fused ring has from 0 to 3 R⁸ substituents; with the proviso that the polycyclic compound is not disclosed in U.S. Pat. No. 8,703,749.
 2. The method of claim 1, wherein X is —S(O)₂—.
 3. The method of claim 1, wherein X is —C(O)—.
 4. The method of claim 3, wherein R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each independently selected from the group consisting of hydrogen, C₁-C₆ alkyl, and aryl.
 5. The method of claim 1, wherein R² is selected from those that are listed in Table
 2. 6. The method of claim 1, wherein R² is a phenyl group substituted with from 0 to 3 R⁴ substituents.
 7. The method of claim 6, wherein the R⁴ substituents for the R² groups are independently selected from the group consisting of halo, C₁-C₆ alkyl, hydroxyl, and C₁-C₆ alkoxy.
 8. The method of claim 1, wherein R² is a naphthyl group substituted with from 0 to 3 R⁴ substituents.
 9. The method of claim 1, wherein R³ is selected from those that are listed in Table
 2. 10. The method of claim 3, wherein R³ is an aryl group substituted with from 0 to 3 R⁴ substituents.
 11. The method of claim 1, wherein R³ is a heteroaryl group substituted with from 0 to 3 R⁴ substituents.
 12. The method of claim 11, wherein R³ is a phenothiazinyl group with from 0 to 3 R⁴ substituents.
 13. The method of claim 12, wherein R¹ is C₁-C₆ alkyl; wherein R² is phenyl with 0 to 3 R⁴ substituents; and wherein the R⁴ substituents for the R³ groups are independently selected from the group consisting of halo, C₁-C₆ alkyl, hydroxyl, and C₁-C₆ alkoxy.
 14. The method of claim 13, wherein the compound is of the formula:


15. The method of claim 1, wherein the R⁴ substituents for the R³ groups are independently selected from those that are listed in Table
 2. 16. The method of claim 1, wherein each R⁴, R⁵, R⁶, R⁷, or R⁸ is independently H, C₁-C₆ alkyl, halo, —NO₂, —CF₃, —CN, or C₁-C₆ alkoxy.
 17. The method of claim 1, wherein the method of treating Friedreich's ataxia comprises inhibiting ubiquitination of frataxin.
 18. A pharmaceutical composition comprising a therapeutically effective amount of a polycyclic compound or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof; wherein the polycyclic compound is of a formula:

wherein: X is a linking group selected from the group consisting of —S(O)₂— and —C(O)—; R^(1a) and R^(1b) are each independently selected from the group consisting of hydrogen, lower alkyl, fluoroalkyl, aryl, and heteroaryl; wherein the aryl or heteroaryl group has from 0 to 3 R⁴ substituents; R² is a first cyclic group selected from the group consisting of phenyl, naphthyl, and heteroaryl; wherein the R² group has from 0 to 3 R⁴ substituents; R³ is a second cyclic group selected from the group consisting of phenyl, naphthyl, and heteroaryl; wherein the R³ group has from 0 to 4 R⁴ substituents; each R⁴ substituent is independently selected from the group consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —C(O)R⁵, —NHC(O)R⁵, —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷, —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic R⁴ substituent is selected from the group consisting of aryl, heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴ substituent has from 0 to 3 R⁸ substituents; each R⁵, R⁶, or R⁷ is independently H, C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, or a cyclic R⁵ substituent; wherein the cyclic R⁵ substituent is selected from the group consisting of aryl, heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁵ substituent has from 0 to 3 R⁸ substituents; and each R⁸ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, or heterocyclyl; and wherein adjacent R⁴, R⁵, R⁶, or R⁷ substituents may optionally join to form an additional fused ring selected from the group consisting of aryl, heteroaryl, cycloalkyl, and heterocyclyl; wherein the additional fused ring has from 0 to 3 R⁸ substituents; with the proviso that the polycyclic compound is not disclosed in U.S. Pat. No. 8,703,749.
 19. A method of treating Friedreich's ataxia in a subject in need thereof, comprising administering to a subject a therapeutically effective amount of a polycyclic compound or a pharmaceutically acceptable salt, tautomer, or stereoisomer thereof; wherein the polycyclic compound is of a formula selected from the group consisting of:

wherein: X is a linking group selected from the group consisting of —S(O)₂— and —C(O)—; R^(1a), R^(1b), R^(1c), R^(1d), and R^(1e) are each independently selected from the group consisting of hydrogen, C₁-C₆ alkyl, fluoroalkyl, aryl, and heteroaryl; wherein the aryl or heteroaryl group has from 0 to 3 R⁴ substituents; R² is a first cyclic group selected from the group consisting of phenyl, naphthyl, and heteroaryl; wherein the R² group has from 0 to 3 R⁴ substituents; R³ is a second cyclic group selected from the group consisting of phenyl, naphthyl, and heteroaryl; wherein the R³ group has from 0 to 4 R⁴ substituents; each R⁴ substituent is independently selected from the group consisting of C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, —NO₂, —CF₃, —CN, —OR⁵, —SR⁵, —C(O)R⁵, —NHC(O)R⁵, —C(O)OR⁵, —OC(O)R⁵, —NR⁵R⁶, —C(O)NR⁵R⁶, —NHR⁵C(O)NR⁶R⁷, —S(O)₂NR⁵R⁶, and a cyclic R⁴ substituent; wherein the cyclic R⁴ substituent is selected from the group consisting of aryl, heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁴ substituent has from 0 to 3 R⁸ substituents; each R⁵, R⁶, or R⁷ is independently H, C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, or a cyclic R⁵ substituent; wherein the cyclic R⁵ substituent is selected from the group consisting of aryl, heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, and heterocyclyl; and wherein the cyclic R⁵ substituent has from 0 to 3 R⁸ substituents; and each R⁸ is independently C₁-C₆ alkyl, C₂-C₆ alkenyl, C₂-C₆ alkynyl, C₁-C₆ alkoxy, halo, aryl, heteroaryl, arylalkyl, heteroarylalkyl, cycloalkyl, cycloalkylalkyl, or heterocyclyl; and wherein adjacent R⁴, R⁵, R⁶, or R⁷ substituents may optionally join to form an additional fused ring selected from the group consisting of aryl, heteroaryl, cycloalkyl, and heterocyclyl; wherein the additional fused ring has from 0 to 3 R⁸ substituents.
 20. The method of claim 19, wherein the polycyclic compound formula is selected from those described in Table
 1. 